Abstract • A series of 58 patients with idiopathic facial paralysis were studied to determine if a concomitant cochlear or eighth nerve auditory dysfunction could be identified with traditional audiologic tests. Results indicated that only those patients with a facial nerve lesion, proximal to the stapedius branch, experienced reduced tolerance for loud sounds, reduction of speech discrimination at high-intensity levels, and abnormal loudness growth. Such findings suggest that changes in auditory function, accompanying facial nerve paralysis, are a mechanical effect due to absence of stapedial action. Site of lesion tests in this sample failed to demonstrate eighth nerve dysfunction and, thus, does not support a theory of polyneuropathy that involves the auditory nerve. (Arch Otolaryngol 105:271-274, 1979) References 1. Perlman HB: Hyperacusis . Ann Otol Rhinol Laryngol 47:947, 1938. 2. Tschiassny K: Stapedioparalytic phonophobia (hyperacusis) in a deaf ear . Laryngoscope 59:886, 1949.Crossref 3. Borg E, Zakrisson JE: Stapedius reflex and speech features . J Acoust Soc Am 54:525-527, 1973.Crossref 4. McCandless GA, Goering DM: Changes in loudness after stapedectomy . Arch Otolaryngol 100:344-350, 1974.Crossref 5. Jerger J, Jerger S: Psychoacoustic comparison of cochlear and eighth nerve disorders . J Speech Hear Res 10:659-688, 1967. 6. Weaver M, Northern J: The acoustic nerve tumor , in Northern J (ed): Hearing Disorders. Boston , Little Brown & Co, 1976. 7. Rosenberg PE: Rapid clinical measurement of tone decay . Presented at the American Speech and Hearing Association convention, New York, (November) 1958. 8. Dirks DD, Kamm C, Bower D, et al: Use of performance intensity functions for diagnosis . J Speech Hear Res 42:408-415, 1977.
Archives of Otolaryngology – American Medical Association
Published: May 1, 1979
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